Individual
BRAID RENEE WEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4842 N CORTONA WAY STE 100, MERIDIAN, ID 83646-3171
(208) 888-8306
Mailing address
11877 W BLAKE DR, STAR, ID 83669-5617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9020
ID
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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